Evidence map›Paper›PMID 41579036›Full record

Observational studyAge and ageing2026

The utilisation and cost of social care after hip fracture: a prospective observational cohort study.

En Lin Goh, May Ee Png, David Metcalfe, Juul Achten, Duncan Appelbe, Xavier Luke Griffin, Jonathan Alistair Cook, Matthew Lee Costa, WHiTE Investigators

Abstract readObservational StudyMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Age and ageing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

En Lin GohOxford Trauma and Emergency Care, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.ORCID 0000-0002-0331-1803
May Ee PngNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
David MetcalfeOxford Trauma and Emergency Care, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Juul AchtenOxford Trauma and Emergency Care, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Duncan AppelbeOxford Trauma and Emergency Care, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
Xavier Luke GriffinBone and Joint Health, Blizard Institute, Queen Mary University of London Barts and The London School of Medicine and Dentistry, London, UK.
Jonathan Alistair CookOxford Clinical Trials Research Unit, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.ORCID 0000-0002-4156-6989
Matthew Lee CostaOxford Trauma and Emergency Care, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
WHiTE Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe cost of medical care associated with hip fracture has been reported but the cost of social care is less well understood. Social care costs include formal residential and home care and home adaptations, but also informal care from family and friends. This study investigated the utilisation and cost of care beyond acute hospital stays following hip fracture.

methodsA multi-centre, prospective observational study of patients ≥60 years with a hip fracture in the United Kingdom (UK), with 120-day follow-up. Marginal costs were calculated, with scenario analysis projecting the cost to the UK hip fracture population. A two-part model was used to calculate the incremental mean cost attributable to complications following surgery.

resultsAmongst 16 679 patients with a hip fracture, the mean cost of social care was £15 525 (95% CI: 14 991-16 059) per person. Mean cost per person for the change in residential requirements was £1656 (95% CI: 1568-1743); formal and informal home care £12 849 (95% CI: 12 448-13 250); and home adaptations £1021 (95% CI: 976-1067). The projected national cost of social care in the first 120 days following all hip fractures in the UK was £1.25 billion. Incremental mean cost of social care for patients who developed a surgery-specific or general complication were £1264 (95% CI: 58-2469) and £1418 (95% CI: 792-2043) per person, respectively.

conclusionSocial care represents a substantial and often under-recognised component of the economic burden following hip fracture. Formal and informal care were major cost drivers after discharge from hospital and may rival or exceed the cost of acute hospital care.

Indexed as

Health Care CostsHip FracturesHome Care ServicesAgedAged, 80 and overFemaleHumansMaleMiddle AgedModels, EconomicProspective StudiesTime FactorsUnited Kingdomcomplicationscosthip fractureolder peoplesocial care

Identifiers

PMID41579036
PMCPMC12831183

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.